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Medical Forms

ASCO Cancer Treatment and Survivorship Care Plans

ASCO developed two types of forms to help people diagnosed with cancer keep track of the treatment they received and medical care they may need in the future: a Cancer Treatment Plan and a Survivorship Care Plan. A Cancer Treatment Plan is a form that provides a convenient way to store information about your cancer, cancer treatment, and follow-up care. It is meant to give basic information about your medical history to any doctors who will care for you during your lifetime. A Survivorship Care Plan is a form that contains important information about the given treatment, the need for future check-ups and cancer tests, the potential long-term late effects of the treatment you received, and ideas for improving your health.

Medical Forms

Writing down information during visits with your doctor can help you manage what can seem like an overwhelming amount of information. These forms include an extensive medical history form, a form for contact information and insurance information, a form to log test results and appointment notes, and a form to list members of your health-care team.

Cancer.Net's medical forms are available in both PDF and Word document forms. To download a form to your computer, right-click on the link and select "Save As."

PDF

You will need Adobe Acrobat Reader to view the forms. If you do not have it installed already, you can download this program:

Cancer.Net provides timely, comprehensive, oncologist-approved information from the American Society of Clinical Oncology (ASCO), with support from the Conquer Cancer Foundation. Cancer.Net brings the expertise and resources of ASCO to people living with cancer and those who care for and about them to help patients and families make informed health care decisions.